Online citations, reference lists, and bibliographies.
← Back to Search

Lumbar Muscle Fatigue And Chronic Lower Back Pain

S. Roy, C. D. De Luca, D. Casavant
Published 1989 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
There currently is a clinical need for an objective technique to assess muscle dysfunction associated with chronic lower back pain. A Back Analysis System for objectively measuring local fatigue in the back extensor muscles is presented. The reliability and validity of this technique was evaluated by testing chronic low-back pain patients and control subjects without back pain. Concurrent surface electromyograms (EMG) were detected from multiple back muscles during sustained isometric contractions at different force levels of trunk extension. Median frequency parameters of the EMG power density spectrum were monitored to quantify localized muscle fatigue. Results indicated: 1) high reliability estimates for repeated trials; 2) significant differences (P<0.05) In median frequency parameters between lower back pain patients and control subjects for specific combinations of contractile force level and muscle site tested; 3) Median Frequency parameters correctly classified lower back pain and control subjects using a two-group discriminant analysis procedure. The applicability of this technique as a treatment outcome measure and diagnostic screening method for lower back pain patients is discussed.
This paper references
DelcnIIaadoG doll lot clnaIc IoWb & ck diI « cIen
W AIICoa (1966)
uesa - OBI , Orteqrea It " Haberts P : Quuticathe eIec : UolllJO "
Scud J s..
Hc : rriag T . Amtmdsea . . . et at ~ meat of abdomiaal & Ad bad ex 1 easor t 1 uac : cioa ; A qaaadwiYe approada ad IU 1 IJCI foc cIarOaic lowbact
G. Smidt (1983)
Taeeermaaa va : AuIysia of macalu fatipe peU « nlla lower bact paba
CJ ItOfsa.DeLuca
Oruu A : Oaline moaitoriDg of lhe mediaa frequeacy of the surface EMG power apednlm
Millet-RG. MiIaer-Browa lIS (1985)
BadariJIg capIdty of tbe uedoRS spiDae Ia lUcie wort
M Okada
sc . dieIla tIacbcbo willa penlateat . ascIe IpU 1 IL Arda Ph
RH EwaIIUdt (1912)
Tl ' 1 IDk Iilascle faactioa UlIIow ' * * diIordea : 413 , 1984 A talyear follow · up ltUdy
P LeIaO (1911)
Aa doc ­ eten u . . objcc : che aacave of back muscle fwaccioa ill c : brODic CIOtRyOpapbic IIlveIdptiota 01 poanI fadpe Ia low tIact paIaA LBP paticlla
AI JoDeI
acIo accnity related to poItmD UlIIoI 4 iq
OV Koadtub
Tnmk streagths in attempted fterloll , e ~ oa ud I . a & enl beading ill bealthy subjects aad patieatl with low backc disordeR
R Merfetti
Pbysical requiremculs : Sittiag , aaadiag . and weight lifting
A McNeillT.WanoickcD.AaderuoaG.Schultz (1972)
EIccttomyograpbic studies of muscle fatigue In man
A CobbSoForbes
The nIatioa betwa the myodoctric Iipal & ad playsiological pcopeniea of COlIIiaat force kolllddc c : oairac : ciou
FB Stulca (1980)
RCCOIdia & frolll allqle IIIOt « ail dadac lIIIOq d ( on
A RoeeafaIt
The 14 : 921938 . 1989 " IdItodaemicll colllpOlitioa ellaUIlWl 1 ' Cl ' tebnl
DM Ford
Myoe 1 cctricat maaifestatiOlll of ~ D 1 ascalar fa ­ the MVC as a percentage of body weight
CJ DeLaca (1979)
edcu 0 : Wbolebocly wXatioa IDd 4 iIonIcn of cbe IpIDe . tare work is aecdcd to invcsdgate these poaibiIitiCI for impIoviDg •
Farfaa IIF
Tbe applied anatomy of die thoracolumbar fucia
N Bogdat
Coodudioa . e 1 oc : ity iA isebemic made : Effect oa HMG fn : qaeacy spceuUm
R MortimetIT.Magauaoa
~ iaaracas of cbe a ) ' ocIoc : cric IlpaJ . as • _ clillade COII 4 t 1 CCi 01 l wIodly
FB sadea (1978)
" Orpaizatioa el die ~ pool : no Ibo ( IdDdpIc , ~ P and CODCrol categories by • disc : riminaat analysis pcoc : cclarC
RH Hardiq
LD , Dc 1 Ac : a CJ : Nuc : le fatiaue IIIOlIiCor : Socood & eaendoL the aaasclc fatignc insufficiencies usoc : iitM with IlOIlItnICCaraI
B IIeaemall (1985)
ElccCromyograpbic . eva \ uatioa of } > ad muele fatipe wicb repeated nIt & ioed coattaclioas ol dilf _ t ItreIIgCbs
Ilcyu (1987)
Treadq dnaIe Iow ' tlact peIaBMO Wofee 4 ­ tIact tnlaia & d . m , _ metd
K Jocieuea
Stqa - IC : ENG _ aaia & In the diagnosis of duoaic : paiD . may Do ( always be a true represeDtatioD of
CraDl (1983)
Scbaeid « J : Moca cl decCrode IocaDoa 011 IlI ) " OCIocCdc ooedllCCioa Wlodty ad median Ireqaeaq esdIllIfa
CJ DeLuca (1986)



This paper is referenced by
Lumbar muscle fatigue and recovery : Evaluation of electromyography in patients with long-term low-back pain and in healthy subjects
B. Elfving (2002)
10.1053/APMR.2003.50008
Effect of fatigue on torque output and electromyographic measures of trunk muscles during isometric axial rotation.
J. K. Ng (2003)
10.1191/0269215502cr551oa
Between-days reliability of electromyographic measures of paraspinal muscle fatigue at 40, 50 and 60% levels of maximal voluntary contractile force
F. Arnall (2002)
10.1016/J.JBSPIN.2006.02.013
Spinal muscle evaluation in healthy individuals and low-back-pain patients: a literature review.
C. Demoulin (2007)
10.1097/00002508-199912000-00002
Chronic pain disability exaggeration/malingering and submaximal effort research.
D. Fishbain (1999)
10.1080/00140139308967898
Spectral analysis of erector spinae EMG during intermittent isometric fatiguing exercise.
J. V. van Dieën (1993)
10.7939/R3PZ51Z8F
Ergonomic Risk Assessment in Construction Manufacturing Facilities
X. Li (2017)
10.1007/s005860000189
Influence of age and duration of symptoms on fibre type distribution and size of the back muscles in chronic low back pain patients
A. F. Mannion (2000)
Intervertebral somatic dysfunction: A discussion of the manipulable spinal lesion
G. Fryer (2006)
The effect of real-time biofeedback on lumbar spine and lower limb kinematics and kinetics during repetitive lifting
Yanto Naudé (2018)
10.1097/00007632-199810010-00013
The Effect of Back Belt Use on Isometric Lifting Force and Fatigue of the Lumbar Paraspinal Muscles
G. Majkowski (1998)
10.1016/S0003-9993(98)90206-4
Early development of EMG localized muscle fatigue in hand muscles of patients with chronic heart failure.
M. Buonocore (1998)
10.1007/BF02109913
Effects of chair design on back muscle fatigue
J. Cram (2005)
10.1007/s004210050242
Lumbar paraspinal muscle fatigability in repetitive isoinertial loading: EMG spectral indices, Borg scale and endurance time
M. Kankaanpää (1997)
10.1016/B978-343757940-0.10019-7
KAPITEL 19 – Überblick und Zusammenfassung von Abschnitt 2
E. Lederman (2007)
10.1007/BF00233851
The electro-mechanical delay of the erector spinae muscle: influence of rate of force development, fatigue and electrode location
J. Dieën (2004)
10.3233/IES-130486
Correlation of static and dynamic trunk muscle endurance and bat swing velocity in high school aged baseball players
K. Lin (2013)
10.1016/j.gaitpost.2019.07.127
Influencing lumbar posture through real-time biofeedback and its effects on the kinematics and kinetics of a repetitive lifting task.
M. Boocock (2019)
10.1007/s40279-015-0429-1
The Biomechanics of the Modern Golf Swing: Implications for Lower Back Injuries
M. Cole (2015)
10.3233/BMR-160663
Relationship between flexion-rotation test and ultrasound thickness measurement of the abdominal muscles.
F. Rajabzadeh (2016)
10.1590/S1517-86922005000200003
Analysis of strength and resistance parameters of the lumbar spinae erector muscles during isometric exercise at different effort levels
M. Gonçalves (2005)
10.1097/00005768-200111000-00014
Sensory-motor control of the lower back: implications for rehabilitation.
G. Ebenbichler (2001)
10.1097/01.BRS.0000115133.97216.EC
Chronic Low Back Pain-Associated Paraspinal Muscle Dysfunction is not the Result of a Constitutionally Determined “Adverse” Fiber-type Composition
K. Crossman (2004)
10.1007/s004210050631
EMG power spectra of trunk muscles during graded maximal voluntary isometric contraction in flexion-rotation and extension-rotation
S. Kumar (1999)
EFFECT OF MOTOR CONTROL EXCERCISES ON ELECTROMYOGRAPH-IC RESPONSES IN BACK MUSCLES IN PATIENTS WITH LOW BACK PAIN. A PILOT STUDY
E. S. Prathyush (2015)
Development of a Standard for the Health Hazard Assessment of Mechanical Shock and Repeated Impact in Army Vehicles Final Report: Summary of Phases 1 - 5.
B. Cameron (1998)
Endurance of trunk muscles in persons with chronic low back pain: assessment, performance, training.
M. Moffroid (1997)
10.1007/s00421-002-0769-z
Muscle recovery from a short fatigue test and consequence on the reliability of EMG indices of fatigue
C. Larivière (2003)
10.1016/S1050-6411(02)00027-5
Influence of interelectrode distance and force level on the spectral parameters of surface electromyographic recordings from the lumbar muscles.
B. Elfving (2002)
10.1016/S1050-6411(00)00037-7
Median frequency of the electromyographic signal: effect of time-window location on brief step contractions.
C. Larivière (2001)
10.1007/s00221-007-0913-4
Localized muscle pain causes prolonged recovery after fatiguing isometric contractions
A. Ciubotariu (2007)
Effects of lumbopelvic stabilization program in young, non-elite, community-based gymnasts
M. Pomije (2017)
See more
Semantic Scholar Logo Some data provided by SemanticScholar